Individual
CORA RENEA MINICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, CMMP
Contact information
Practice address
510 COURT STREET, FREMONT, OH 43420
(419) 355-8440
Mailing address
510 COURT ST, FREMONT, OH 43420-2408
(419) 355-8440
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
33.021029
OH
225700000X
Massage Therapist
Primary
021029
—
Other
Enumeration date
06/07/2013
Last updated
08/15/2013
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